深静脉支架的主要并发症 深静脉支架的主要并发症
D P Joyce1, R I Morris2, S A Black2
1Department of Interventional Radiology, Galway University Hospital, Galway, Ireland. doireann.joyce@gmail.com.
Cardiovascular and interventional radiology
|August 30, 2024
概括
深静脉支架是静脉阻塞的安全手术,主要并发症率低,为3.3%. 意识到像支架粉碎和骨折这样的罕见风险对于患者知情同意至关重要.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 心血管医学 心血管医学
背景情况:
- 深静脉支架是静脉阻塞的主要治疗方法.
- 现有的并发症数据依赖于有限的病例报告和单中心研究.
- 了解并发症发生率对于患者咨询和程序优化至关重要.
研究的目的:
- 为了确定与 iliocaval 和 iliofemoral 支架放置相关的严重并发症的发生率.
- 在一个大型的多中心队列中分析主要不良事件.
主要方法:
- 在2014年1月至2023年9月期间接受治疗的1814名患者的回顾性分析.
- 包括主要并发症:死亡,严重出血,肺栓塞,重新干预,血管破裂,急性损伤和与支架相关的问题 (压碎,骨折,迁移,侵蚀).
主要成果:
- 共有1814名患者接受了深静脉支架的安置.
- 与支架相关的重大并发症的总比率为3.3% (61名患者).
- 最常见的并发症包括支架粉碎 (29.5%),骨折 (16.4%) 和侵蚀 (13.1%);死亡很少发生 (0.2%).
结论:
- 深静脉支架的安置表明了有利的安全概况,并具有较低的重大并发症率.
- 操作人员必须意识到潜在的,尽管很少发生的并发症,以确保完全知情的患者同意.
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